AMANDA A. HEMMER M.D.
NPI 1750720470
Hospitalist in Edgewood, KY

Active since June 15, 2013PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-8074(859) 301-4945 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 7, 2022, Sep 5, 2018, May 22, 2018 and 3 more (6 updates tracked since 2015).

About Amanda A. Hemmer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA A. HEMMER M.D. (NPI 1750720470) is an individual hospitalist provider in Edgewood, Kentucky, licensed in Kentucky (48512) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1750720470
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameAMANDA A. HEMMERCredential: M.D.
Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 212-4468 · Fax (859) 212-4357
Fax(859) 301-4945
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 15, 2013
Last NPPES UpdateFebruary 7, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
NPI 1750720470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in KY · 48512
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 48512 (KY)
1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Other Identifiers 3

Medicaid7100397610KY
Medicaid201401780IN
OtherP01721097KY · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda A. Hemmer M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880901909
PECOS Enrollment IDI20160930002084
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
638 services214 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
75 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services69 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
67 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
51 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Surgery (Surgical Oncology)
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Emergency Medicine
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Anesthetist, Certified Registered
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Hemmer's NPI number?

The NPI number for Amanda Hemmer is 1750720470. It was assigned to this individual provider in the NPPES registry on June 15, 2013.

Where is Amanda Hemmer located?

Amanda Hemmer practices at 1 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 301-8074.

What is Amanda Hemmer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Amanda Hemmer enrolled in Medicare?

Yes. Amanda Hemmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Hemmer accept?

Health plans from CareSource list Amanda Hemmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amanda Hemmer affiliated with any hospitals?

According to CMS data, Amanda Hemmer is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Amanda Hemmer was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.